第十五章 她得的是鳃裂瘘管(1 / 2)

冷汗哒哒的从后背下来,刘同很是尴尬,不过他可不像李帆,没有十足的把握就不确诊了?

只要诊断的姿态煞有介事,病人懂什么,能忽悠也就忽悠过去了。

治疗这个东西因人而异,因环境气候而异,就算是同一个病症也有轻重缓急,同样的治疗,有些人痊愈了,有些人迟迟不好,也很正常。

所以刘同恢复了镇静,脸上露出了高深莫测:

“小姑娘,你不用担心,不过是之前的手术愈合的不好,细菌感染引起的并发症。只要做一个穿刺引流术,再消炎,我给你开点药,只要按时吃。很快就能恢复了。不过以后一定要注意卫生,伤口要是感染,就会反复发作。”

刘同一本正经的说道。

“好的,医生,我一定注意伤口,确实已经反复好多次了,以前医生也是说脓肿感染,都怪我太不小心。”

黄烨委屈的抿着嘴,对于医生的诊断自然是极为信服,内心很是自责。

黄烨的舅舅也是在一旁附和道:“刘医生说的一点没错,小烨就是没注意伤口,总是感染,反复好几次了,希望这次能够痊愈。”

“嗯,没事的,之后医院会安排你穿刺引流术,将脓液排出,给予抗生素处理,消毒处理,再缝合就行了安心养养就好了。”

刘同温和的给出了论断,以及抛出了万金油的注意事项:“期间注意禁生冷辛辣,多喝热水,睡眠规律。”

黄烨乖巧的嗯了一声。

“那就按我诊断的安排,李医生。”

刘同注视着李帆,命令下级一般,又看了看唐楼:“这是一个主治医师的基本素养,而不是总要拿各种无关紧要又繁琐的检查来折腾病人。”

听到刘同的这句话,几个病人和家属都是深以为然。

“是么?”

对于刘同的告诫,唐楼没有认同,而是走开一步,站到了黄烨的床前。

“唐楼,你干什么?”

刘同很是诧异唐楼的不懂医院的尊卑,竟然无视自己的训诫,还走向了病患,他要干什么?

...

...

【患者姓名:黄烨,年龄:13

症状:咽痛进行性加重8天,左颈部疼痛1天,抗炎治疗1周,有低热,无畏寒。2年前有颈部脓肿病史,行穿刺引流术。

左侧颈前区肿大,压痛明显,中间有手术疤痕,直径约1cm。

左侧颈部巨大脓肿,已至咽后壁、椎旁

系统提示:这个是一个急危重性感染疾病,有破溃导致颅底感染风险,早期的误诊,致使病情进行性加重,医生认识病因很重要,这类疾病特点就可以早诊断早治疗。

诊断:第二鳃瘘并感染(鳃裂瘘管为鳃囊、鳃沟相通或鳃沟不消失而生成鳃裂瘘管的外瘘口及全程,因瘘管位于颈部,故又称颈侧瘘管。)

经瘘口行X线碘油造影可明确诊断。】

【任务:公道自在人心!系统检测到刘同医德有问题,宿主需要严厉抨击之!让其颜面尽失。奖励金币1】

...

...

“唐楼...”

李帆也是有些不解的喊了一声。

唐楼转过身,脸上有些为难,这个系统真的是又刚又头铁!

一个实习生怒喷主治医师,这不是找死呢么。

我太难了!

看着李帆,突然灵机一动,谁让你是我便宜师父!

唐楼于是心安理得准备将锅分给了李帆:“李医生,我觉得您太谨慎了,明明已经有了九成把握,非要严谨负责的进行最后的检验确认。”

“哈?”

李帆有些费解的看着唐楼。

刘同一旁也是蹙了蹙眉头,心里一虚,脸色有些不自然的呵斥道:“唐楼,你胡说八道什么!”

“这个词,应该是我送给你吧!”

唐楼犀利的逼视着刘同,锋芒毕露。

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